神经导航术中脑组织变形的研究进展.pdfVIP

数字医学研究与应用 .1 Research and Application of Digital Medicine 圃E 神经导航术中脑组织变形的研究进展 李萍①宋志!坚* mEI 神经外科手术导航能辅助医生准确识别与切除病变组织，但是手术开颅后脑组织变形严重影响了精度。总结了当前 国际上脑组织变形模拟与矫正的研究进展。脑组织变形矫正主要集中在:模型矫正技术、术中þ~像技术、脑变形图谱、荧光 引导下的脑变形矫正、血管驱动矫正等方法。但是大多数方法仅考虑颅骨刚打开时的脑变形模拟与矫正，手术过程中牵拉和 肿瘤切除引起的脑变形研究不多，是一个非常值得研究的方向。 J.lmI 脑变形扩展有限元方法线弹性模型荧光引导切除血管驱动矫正 Doi:10.3969/j .issn .1673-7571.2011 .08.018 Research and Development of Brain Tissue Deformation in Neuronavigator-Guided Surgery I LI Ping, SONG Zhi-jian// China Digital Medicine.-2011 6(8): 63 to 67 Abstract Image-guided neurosurgery using navigation systems is an essential tool to increase accuracy in brain tumor surgery. However, brain shift during surgery has remained problematlc. In this paper, neurosurgical simulation and correction methods of brain deformation are discussed. According to the searched SCI paper in these two years, approaches for correcting the brain shitt deformation were centered on these categories: physical model methods; intraoperative imaging; deformation atlas; fluorescence-guided resection; vessels driven correction of brain shift. Another main factor causing the deformation includes intra-operative manipulations such as resection and retraction, which is a very worthwhile direction. Most of these methods don t take them into account. Keywords brain shi伐， eXtended Finite Element Method (XFEM). linear elastic model, fluorescence-guided resection (FGR) , vessel driven correction Fund project National High Techno logy Research and Development Program (No. 2009AA02Z415); Science and Technology Commission of Shanghai Municipality (No. 08dz1900705 and No. 09410702800); Shanghai Leading Academic Discipline Project (No. B112). Corresponding au